| Stellher Human Services, Inc. | |
|
519 Anne St Nw Ste B Bemidji MN 56601-4278 | |
| (218) 444-2845 | |
| (218) 444-2847 |
| Full Name | Stellher Human Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 519 Anne St Nw Ste B, Bemidji, Minnesota |
| Authorized Official Name and Position | Cheryl Bradseth (AUTHORIZED MANAGER) |
| Authorized Official Contact | 2184072425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellher Human Services, Inc. Po Box 430 Bemidji MN 56619-0430 Ph: (218) 444-2845 | Stellher Human Services, Inc. 519 Anne St Nw Ste B Bemidji MN 56601-4278 Ph: (218) 444-2845 |
| NPI Number | 1023225430 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/13/2023 |
| Medicare PECOS PAC ID | 2365768199 |
|---|---|
| Medicare Enrollment ID | O20150313000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023225430 | NPI | - | NPPES |
| 714818600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 714818600 (Minnesota) | Primary |
| Provider Name | Julie A Beevor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053921080 PECOS PAC ID: 7810300308 Enrollment ID: I20201229002790 |
| Provider Name | Shannon S Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841828704 PECOS PAC ID: 8224554811 Enrollment ID: I20250428000899 |
| Provider Name | Mark A Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932321189 PECOS PAC ID: 9133445968 Enrollment ID: I20250428001406 |
| Provider Name | Sarah I Bjornson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588115125 PECOS PAC ID: 2163948787 Enrollment ID: I20250428001558 |
| Provider Name | Austin A Decock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114334109 PECOS PAC ID: 0941726574 Enrollment ID: I20250428001691 |
| Provider Name | Christopher J Godding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821204884 PECOS PAC ID: 8022534577 Enrollment ID: I20250428002253 |
| Provider Name | Colleen R Beck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427279801 PECOS PAC ID: 7517483100 Enrollment ID: I20250428002549 |
| Provider Name | Gretchen A Slavicek |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194498386 PECOS PAC ID: 2668998097 Enrollment ID: I20250429002526 |
| Provider Name | Abbey A Bohlman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023855020 PECOS PAC ID: 6002332301 Enrollment ID: I20250430000053 |
| Provider Name | Morgan A Croatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861254096 PECOS PAC ID: 9436675428 Enrollment ID: I20250502001313 |
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